- Axis (New York, NY)
- …available upon request for candidates taking part in the selection process. AXIS Capital Claims Compliance Specialist , Claims Shared Services- Job ... Description AXIS is seeking a Claims Quality Assurance and Compliance Specialist , Claims Shared Services to join our Shared Services Claims team. As… more
- NJM Insurance (Parsippany, NJ)
- NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist . This is a full-time position and offers a hybrid schedule after training. The ... Claims Account Specialist will be responsible for...of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards, and laws applicable to… more
- Zurich NA (New York, NY)
- Sr. Claims Specialist - Complex Construction Claims 117562 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- Sedgwick (Newark, NJ)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or...for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. + Uses appropriate cost containment… more
- City of New York (New York, NY)
- …is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist , who will: - Review, process, determine and/or establish ... Job Description YOU MUST BE PERMANENT IN THE ELIGIBILITY SPECIALIST CIVIL SERVICE TITLTE OR IF YOU ARE HIRED PROVISIONALLY IN THE ELIGIBILITY SPECIALIST TITLE… more
- City of New York (New York, NY)
- …Manager who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...issuance of inaccurate SNAP benefits. It is responsible for compliance with USDA and OTDA mandated review of actions… more
- Hackensack Meridian Health (Hackensack, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Compliance Specialist ** assures on-going compliance and implements an effective ... coding, billing and licensure. Coordinates and participates in the record/ claims review process, provides documentation and compliance ...education sessions to physicians and other staff. I The Compliance Specialist may assist the Regional … more
- CAIPA MSO LLC (New York, NY)
- Billing/Insurance Collections Specialist New York, NY (http://maps.google.com/maps?q=202+Canal+Street+New+York+NY+USA+10013) Description We are looking for an ... experienced Billing/Insurance Collections Specialist to join our team. The ideal candidate will...including, but not limited to generating and billing out claims and benefits eligibility verification. Follow-up on claims… more
- Travelers Insurance Company (Morristown, NJ)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Travelers Insurance Company (Morristown, NJ)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Travelers Insurance Company (Morristown, NJ)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Travelers Insurance Company (Morristown, NJ)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- QA/QA Review Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6269) Job Brief The QA/QI Review Specialist is responsible for completing internal quality reviews within… more
- Travelers Insurance Company (Morristown, NJ)
- …reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer ... reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific… more
- Elevance Health (Morristown, NJ)
- …and experiences:** + Provider recruitment + Provider Training and Orientation(Billing, Claims , Contract Compliance , etc) + EDI experience + Provider ... - Friday; 8:00am - 5:00pm The **SCA Provider Relationship Research Specialist ** is responsible for improving the providers relationship with Medicare. Provides… more
- Elevance Health (Morristown, NJ)
- …+ Process New providers for the network + Provider Training and Orientation(Billing, Claims , Contract Compliance , etc) + Update Provider Demographics + ... - Friday; 8:00am - 5:00pm The **SCA Network Data Specialist I** is responsible for accurate and timely maintenance...for accurate and timely maintenance of provider information on claims and provider databases. **How you will make an… more
- Merck (Rahway, NJ)
- **Job Description** Overview: The Data Science & Analytics Senior Specialist role will collaborate with the Human Health Digital, Data and Analytics area to utilize ... + Analyze data using advanced analytical/statistical techniques from various databases/sources ( claims data/EMR data and other sources) to optimize and improve… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... Opportunity & Diversity (EEO&D) Office is responsible for ensuring compliance with the City's EEO Policy, and works in...& Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant Commissioner… more
- MTA (New York, NY)
- Senior Contracts Specialist (Construction Contracts) Job ID: 8466 Business Unit: MTA Construction & Development Location: New York, NY, United States ... their effective date of hire. JOB TITLE: Senior Contracts Specialist (Construction Contracts) AGENCY: Construction & Development DEPT/DIV: Contracts/Construction… more
- Constructive Partnerships Unlimited (Manhattan, NY)
- Incident Management Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... Services in managing and maintaining documentation required to be in compliance with applicable Incident Management regulations. POSITION DUTIES: 1. Develops,… more